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Health Psychology

Health Psychology. Phil Thirkell. Lay Beliefs. What are Lay Beliefs? Common-sense understanding and knowledge about health/illness Rooted in their own experience Aren’t necessarily wrong Where do patients get lay beliefs from?. Lay Beliefs.

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Health Psychology

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  1. Health Psychology Phil Thirkell

  2. Lay Beliefs • What are Lay Beliefs? • Common-sense understanding and knowledge about health/illness • Rooted in their own experience • Aren’t necessarily wrong Where do patients get lay beliefs from?

  3. Lay Beliefs • Why might taking into account a patient’s lay beliefs be beneficial? • Help to understand illness related behaviour • Understand their needs • Understand their expectations • Patient satisfaction • Doctor satisfaction

  4. What triggers a patient to access healthcare? • Sanctioning(my wife told me to come and see you…) • Temporalising of Symptomatology(if my leg hasn’t got better by next week I’ll go to the GP…) • Interfering with vocational activity (my constant headaches mean I can’t concentrate at work…) • Interfering with social activity/relationship(I can’t play football anymore because my knee hurts so much…) • Interpersonal crisis(my brother’s just had a heart attack, so think I should do something about my chest pain…)

  5. Health Behaviour vs. Illness Behaviour • Health Behaviour • Behaviours related to the health status of an individual • Sleep, exercise, attending screening, smoking, alcohol etc. Illness Behaviour • Behaviours a patient engages in once they believe they are ill • e.g. seeking help, changing habits etc.

  6. Dual Pathway Model –how psychological factors affect health Psychological Factors e.g. stress Health Outcome e.g. hypertension direct pathway indirect pathway Behaviour e.g. smoking

  7. BioPsychoSocial Model • BIO • Bacteria • Viruses • Genetics • Other illness • PSYCHO • Behaviour • Emotions • Beliefs • Stress • SOCIAL • Employment • Housing • Class • Ethnicity

  8. Determinants of Health Behaviour • Background – e.g. ethnicity, culture, education etc. • Stable (personality type) • Social – e.g. social cues (you look terrible today), social support (high = perceived healthier) • Situational – e.g. if bored you’re more likely to notice symptoms, publicly visible symptoms Emotional disposition – O.C.E.A.N. Expectancies – LOCUS OF CONTROL Explanatory style – OPTIMIST/PESSIMIST

  9. Stable Factors – Emotional Disposition • OCEAN • Openness – curious, willing to accept new ideas • Conscientiousness – discipline, organisation etc. • Extroversion – enthusiastic, actively seeks information/help • Agreeableness – sympathetic, appreciative etc. • Neuroticism – anxious, tense, self-pitying

  10. Stable Factors – Generalised Expectancies • Locus of Control– how much control they have over future events • Internal – more favourable outcomes. They believe: • Responsible for their own health • Illness can be avoided by good health behaviours • Ill health is from poor health behaviours • External – opposite of all the above Self – Efficacy • Belief that they can carry out an action which will lead to a good outcome

  11. Stable Factors – Explanatory Style • Optimism/Pessimism • A patient’s expectation of the future despite a current bad situation • Attributional Style • Self – internal/external • Time – permanent/temporary • Situation – global/specific

  12. Models of Health

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